Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.02 / $12,762.62 / $39,255.62	Facility		$17.02	$12,762.62	$39,255.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.89 / $17.02 / $24.36	Professional		$16.89	$17.02	$24.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.89 / $30.00 / $30.00	Professional		$16.89	$30.00	$30.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.02 / $27.23 / $62.46	Facility		$17.02	$27.23	$62.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $17.02 / $17.36	Professional		$17.02	$17.02	$17.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.02 / $17.02 / $27.23	Facility		$17.02	$17.02	$27.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.89 / $17.02 / $27.23	Professional		$16.89	$17.02	$27.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.05 / $16.05 / $17.02	Facility		$16.05	$16.05	$17.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $17.02 / $20.07	Professional		$17.02	$17.02	$20.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.62 / $17.80 / $30.00	Professional		$12.62	$17.80	$30.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $28.92 / $35.06	Professional		$17.02	$28.92	$35.06
United Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $17.95 / $20.83	Professional		$17.02	$17.95	$20.83